Membership
Application for the Second Battalion, 4th Marines Association, Inc. (A Not-for-Profit Association)
Your
information will be included in the Published Roster on the 2/4 web page; only
names, dates of
service and unit information will be published.
For security, your home, work information, including phone numbers and
email address…will not be listed. This
information will only be made available through the Roster Manager of the
Association unless you initial here for this information to be passed out upon
request________. We ask for a nickname
if applicable because it does make it easier for those of us that are memory
challenged, some of us can only remember a person by “Juicy” or “Magnet Ass” or
even worse.
Name: First
______________________________ MI: ______Last: ______________________________
Phone #: (_____)_____--_____________________
Work #: (____)______--_____________________
Email address: ______________________________Nickname known by:
__________________________
Address:_______________________________________________________________________________
City:
Rank: current/separation ___________________ Present status: Separated ______ Active Duty ______
Unit assigned during tour with 2/4 (inc. Platoon & Co.):
__________________________________________
Personal Awards/Decorations:_______________________________________________________________
_________________________________________________________________________________________
*****Optional
Information*****
Name of Spouse or Significant other :__________________________________________________________
Children's Names:
_________________________________________________________________________
Current Occupation:________________________________________________________________________
Employer:________________________________________________________________________________
Hobbies/Interests:__________________________________________________________________________
Personal Achievements:
(Books, Articles,
etc)________________________________________________________________________
(Civil Service)
_____________________________________________________________________________
(Elected Official)___________________________________________________________________________
(Notable Feats)
____________________________________________________________________________
The Association is run totally on its member’s dues and a few fund raising events. Because of this, we must ask for a paid membership. If there are circumstances that you cannot afford the dues or if you wish to support others by donating to our dues fund please contact the current Association President at: President@2ndbn4thmarine.com
*****Dues Information*****
Note: Print this
form and mail it with your check.
No information
will be released to anyone outside the Association under any circumstances.
Life Memberships: Life
Membership dues can now be paid in 3 installments over a time period not to
exceed
9 (nine) consecutive
calendar months.
It will be all the members' reasonability to schedule the
payments, as the Association lacks the funds and manpower to send out past due
notices. If you fail to complete payment
of the life membership dues, any sums paid towards it will be converted and
credited as Annual Membership dues.
Make Checks or Money Orders payable to:
2/4 Association
c/o
Jim Mazy
AssocRosters@www.2ndbn4thmarines.com